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Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.12-237.Reimbursement for pharmacist services and procedures

Current as of January 01, 2025 | Updated by Findlaw Staff

(1) As used in this section:

(a) “Insurer”:

1. Means any insurer, self-insurer, self-insured plan, or self-insured group; and

2. Shall include any health maintenance organization, provider-sponsored integrated health delivery network, or nonprofit hospital, medical-surgical, dental, and health service corporation; and

(b) “Practice of pharmacy” has the same meaning as in KRS 315.010.

(2) To the extent permitted under federal law, for policies, plans, or contracts issued or renewed on or after June 29, 2021, an insurer, or a third-party administrator for such insurer, shall provide reimbursement to a pharmacist for a service or procedure at a rate not less than that provided to other nonphysician practitioners if the service or procedure:

(a) Is within the scope of the practice of pharmacy;

(b) Would otherwise be covered under the policy, plan, or contract if the service or procedure were provided by a:

1. Physician;

2. Advanced practice registered nurse; or

3. Physician assistant; and

(c) Is performed by the pharmacist in strict compliance with laws and administrative regulations related to the pharmacist's license.

(3) This section shall not be construed to limit coverage provided under a policy, plan, or contract, or required under any other law.

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Cite this article: FindLaw.com - Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.12-237.Reimbursement for pharmacist services and procedures - last updated January 01, 2025 | https://codes.findlaw.com/ky/title-xxv-business-and-financial-institutions/ky-rev-st-sect-304-12-237/

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